Key result
Peritoneal dialysis lost its initial survival advantage over hemodialysis after 2 years of treatment and was associated with a higher rate of modality switch (57% vs 6%).
Why the study?
Does hemodialysis improve survival compared to peritoneal dialysis in diabetic patients?
Population
Diabetic patients on dialysis (hemodialysis or peritoneal dialysis)
Comparison
Hemodialysis (HD) vs Peritoneal dialysis (PD)
Design
Review
Follow-up
>2 years
Authors
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May support long-term hemodialysis in diabetics; leaves open confirmation by randomized trials.
Does hemodialysis improve survival compared to peritoneal dialysis in diabetic patients?
Hemodialysis may offer a long-term survival advantage over peritoneal dialysis for diabetic patients and those with cardiovascular disease after the first 2 years of treatment.
Klinger et al. (2018) conducted a review in Diabetic patients on dialysis. Peritoneal dialysis vs. Hemodialysis was evaluated on Survival. Peritoneal dialysis lost its initial survival advantage over hemodialysis after 2 years of treatment and was associated with a higher rate of modality switch (57% vs 6%).
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